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犬隐睾症与后续睾丸肿瘤:流行病学更新的病例对照研究

Canine cryptorchism and subsequent testicular neoplasia: case-control study with epidemiologic update.

作者信息

Hayes H M, Wilson G P, Pendergrass T W, Cox V S

出版信息

Teratology. 1985 Aug;32(1):51-6. doi: 10.1002/tera.1420320108.

Abstract

A retrospective study of 2,912 cryptorchid dogs identified 14 breeds with significantly high risk. Among six distinct closely interrelated breed groups (e.g., toy, miniature, and standard poodles), the risk in the smaller breed was always greater than that in the larger relative, suggesting that genetically influenced maldescent could be, in part, related to physical size or the rate of growth of the involved structures. Testicular tumors were diagnosed in 5.7% of the cryptorchid dogs; half had only Sertoli cell tumors, one-third had only seminomas. The relative risk for Sertoli cell tumor or seminoma was not directly related to a familial risk for cryptorchism. Using the health experience of a control population composed of male dogs with anal sac disease (N = 4,184), there is an estimated relative risk of 9.2 in cryptorchid dogs to develop a testis tumor (95% confidence interval, 5.9-14.3) and 4.2 in dogs with inguinal hernia (95% confidence interval, 1.8-9.5). Considering that the anatomical development of the genital tract, testis descent, and tunic relationships in dog are very similar to that in man, and that the associations of cryptorchism and inguinal hernia with testis neoplasms are also similar, the dog should be an excellent model system to further investigate the causes of human cryptorchism.

摘要

一项对2912只隐睾犬的回顾性研究确定了14个风险显著较高的品种。在六个明显密切相关的品种组(如玩具型、迷你型和标准型贵宾犬)中,较小品种的风险总是高于其较大的亲属品种,这表明遗传影响的睾丸未降可能部分与体型大小或相关结构的生长速度有关。5.7%的隐睾犬被诊断出患有睾丸肿瘤;其中一半仅患有支持细胞瘤,三分之一仅患有精原细胞瘤。支持细胞瘤或精原细胞瘤的相对风险与隐睾症的家族风险没有直接关系。以患有肛门囊疾病的雄犬组成的对照群体(N = 4184)的健康经历为依据,估计隐睾犬发生睾丸肿瘤的相对风险为9.2(95%置信区间,5.9 - 14.3),腹股沟疝犬的相对风险为4.2(95%置信区间,1.8 - 9.5)。鉴于犬的生殖道解剖发育、睾丸下降及鞘膜关系与人非常相似,且隐睾症和腹股沟疝与睾丸肿瘤的关联也相似,犬应该是进一步研究人类隐睾症病因的优秀模型系统。

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